Provider Demographics
NPI:1578944393
Name:HALO HOME CARE SERVICES
Entity Type:Organization
Organization Name:HALO HOME CARE SERVICES
Other - Org Name:HALO MGT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD - MARZETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-792-2717
Mailing Address - Street 1:800 COMPTON RD UNIT 27
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3850
Mailing Address - Country:US
Mailing Address - Phone:513-792-2717
Mailing Address - Fax:513-672-1101
Practice Address - Street 1:8044 MONTGOMERY RD
Practice Address - Street 2:SUITE 700
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2919
Practice Address - Country:US
Practice Address - Phone:513-792-2717
Practice Address - Fax:513-672-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-17
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH201502601145251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health